NPI | 1972567956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112278) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 606929) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2020-09-17 |